1. Music Therapy
Andrew Neary, MT-BC, NMT-Fellow Lead Neurologic Music Therapist
Milwaukee Center for Independence (MCFI) Harry & Jeanette Weinberg Building 2020 West Wells Street Milwaukee, WI Direct: Fax:

2. Music Therapy What is Music Therapy? How is music organized?
The organized use of music to address therapeutic goals.
How is music organized?
Rhythm
Melody
Harmony
Timbre
Tempo
Instrumentation

3. Music Therapy What is Music Therapy? What are therapeutic goals?
The organized use of music to address therapeutic goals.
What are therapeutic goals?
Things we need to work on to improve…
Independence
Quality of life
Functional skills
Speech communication
Cognitive skills
Physical skills and ROM

4. Music Therapy Types of music therapy
Experiential
Nordoff-Robins
CMT
HPMT
Structured
NMT
NICU
ORFF
Take home point – Everyone is different, therapy should be different as well.

5. Music Therapy Evidence Based Practice
All practical decisions made should be
Based on research studies
Only quantitative research studies are selected.
Case studies, qualitative, and theoretical studies are still used to help craft the musical experience, but not normally used to create therapeutic goals.
Take home point – We take you guys seriously.

6. Music Therapy Goals The things we work on Cognitive skills
Client will demonstrate selective attention by providing the correct musical response when prompted 65% of opportunities provided by
Physical skills
Client will independently cross midline with right hand 65% of opportunities provided by
Speech communication
Client will demonstrate a functional part of speech by providing a correct verbal response when prompted 65% of opportunities provided by

7. Music Therapy What does a session look like? Hello song Plan
Orientation to time person place
Pre-test assessments
Plan
What are we going to work on today
Therapeutic musical experience (TME)
Goal 1
Goal 2
Review of goals and TMEs
Post-test assessments
Goodbye

8. Music Therapy Goal based tasks Start big and get specific ROM
left side
arm
hand
fingers
pincer grasp
15 sec

9. Music Therapy Client Example Nexday Goal
Zariyah will look across her mid-line to her right x4 per TRAC session 85% of all TRAC sessions.
Music Therapy Goal
Zariyah will demonstrate, independently, upper body range of motion tasks when prompted 60% of opportunities provided by
Art Therapy Goal
Zariyah will tolerate manipulating art materials during the session three times 60% of the recording period.

10. Music Therapy Brain Injury Music Does The Work For You Structure
Organization
Sequencing
Emotional Context
Initiation And Temporal Structuring

11. Music Therapy Brain Injury Common goals Impulse Control Initiation
Problem Solving
Communication
Social Skills

12. Music Therapy Brain Injury
Direct Application For Skills At Home And At Work
A Place To Fail That Has Natural Consequences
A Place That Bridges Communication With Family And Support Team

13. Music Therapy Brain Injury What Does It Look Like Brian’s Video
Songwriting Samples
Speech Examples
Restoration Project

14. Music Therapy
Questions